Active NPI
Muthayyah Srinivasan, MD
- Cardiovascular Disease Physician
- Lithonia, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 052836
- Practice address
- 5447 Dividend Dr
Lithonia, GA 30058-8412 - Phone
- (770) 322-8881
- Fax
- (770) 322-8886
- NPI assigned
- Jul 19, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 052836 | GA | Primary |
Addresses
Primary practice location
5447 Dividend Dr
Lithonia, GA 30058-8412
Mailing address
5447 Dividend Dr
Lithonia, GA 30058-8412
Phone (770) 322-8881
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000782788909B | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1365 Clifton Rd NE
Atlanta, GA 30322-1013
Phone (404) 778-7525
5447 Dividend Dr
Lithonia, GA 30058-8412
Phone 7703228881105
Hospital & facility affiliations
- Emory Hillandale Hospital
- Piedmont Rockdale Hospital
- Emory Decatur Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.25 of 100
- Quality
- 85.74
- Improvement activities
- 40
- Cost
- 78.64
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 052836 | GA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dekalb Medical Center, Inc. | Current | Accepting new patients | |
| The Emory Clinic Inc | Cardiovascular Disease | Current | Accepting new patients |
| M. Srinivasan MD PC | Cardiovascular Disease | Past | Accepting new patients |
| Saint Josephs Hospital of Atlanta Inc | Past | Accepting new patients | |
| Piedmont Cardiology of Atlanta, LLC | Cardiovascular Disease | Past | Accepting new patients |
| Emory Health Care | Past | Accepting new patients |
Locations
1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525
2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000
5900 Hillandale Dr
Lithonia, GA 30058
Phone (404) 501-1000
Interoperability endpoints
- muthayyah.srinivasan@gadirect.net
- muthayyah.srinivasan@eac.eclinicaldirectplus.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Adult Health Nurse Practitioner
- Conyers, GA
- NPI 1851611651
-
- Cardiovascular Disease Physician
- Decatur, GA
- NPI 1457373334
-
- General Acute Care Hospital
- Decatur, GA
- NPI 1093716979
-
- Neurology Physician
- Atlanta, GA
- NPI 1376642751
-
- Cardiovascular Disease Physician
- Atlanta, GA
- NPI 1275729691
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1679664395
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Decatur, GA
- NPI 1093716979
-
- General Acute Care Hospital
- Lithonia, GA
- NPI 1962403865
-
- General Acute Care Hospital
- Conyers, GA
- NPI 1306355680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436313600000",
"number": "1205835501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5447 DIVIDEND DR",
"city": "LITHONIA",
"state": "GA",
"postal_code": "300588412",
"telephone_number": "770-322-8881",
"fax_number": "770-322-8886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5447 DIVIDEND DR",
"city": "LITHONIA",
"state": "GA",
"postal_code": "300588412",
"telephone_number": "770-322-8881",
"fax_number": "770-322-8886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SRINIVASAN",
"first_name": "MUTHAYYAH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-19",
"last_updated": "2015-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "GA",
"license": "052836",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000782788909B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lithonia, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.